Impact of Nasal Septal Surgery on Sleep Quality and Attention-Deficit/Hyperactivity Disorder

Deveci, İldem; Önder, Serap Şahin; Sürmeli, Mehmet; Sahin, Samil; Kipoglu, Betul Aktas; Karabulut, Burak; Eser, Başak Çaypınar

doi:10.1097/scs.0000000000004541

Cited by 11 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The forest plots in Figure 5 represent the impact of surgical treatment for patients with NSD on patient-reported outcome measures and the AHI. Three studies 1,49,50 used the EpSS, and 3 studies 50-52 utilized the PSQI in assessment of sleep quality following septoplasty. A mean posttreatment difference of –3.2 (95% CI, –4.2 to –2.2; P < .00001) was established for the EpSS and –3.4 (95% CI, –6.1 to –0.6; P = .02) for the PSQI.…”

Section: Resultsmentioning

confidence: 99%

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Fried

Yuen

Zhang

et al. 2021

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To determine the impact of treatment for patients with nasal obstruction secondary to allergic rhinitis (AR) and nasal septal deviation (NSD) on sleep quality. Data Sources Primary studies were identified though PubMed, Scopus, Cochrane Library, and Web of Science. Review Methods A systematic review was performed by querying databases for articles published through August 2020. Studies were included that reported on objective sleep parameters (apnea-hypopnea index) and sinonasal and sleep-specific patient-reported outcome measures: Rhinoconjunctivitis Quality of Life Questionnaire, Nasal Obstruction Symptom Evaluation, Epworth Sleepiness Scale (EpSS), and Pittsburgh Sleep Quality Index (PSQI). Results The database search yielded 1414 unique articles, of which 28 AR and 7 NSD studies were utilized for meta-analysis. A total of 9037 patients (8515 with AR, 522 with NSD) were identified with a mean age of 35.0 years (35.3 for AR, 34.0 for NSD). Treatment for AR and NSD significantly improved subjective sleep quality. For AR, the EpSS mean difference was −1.5 (95% CI, –2.4 to –0.5; P = .002) and for the PSQI, –1.7 (95% CI, –2.1 to –1.2; P < .00001). For NSD, the EpSS mean difference was −3.2 (95% CI, –4.2 to –2.2; P < .00001) and for the PSQI, –3.4 (95% CI, –6.1 to –0.6; P = .02). Conclusion Subjective sleep quality significantly improved following treatment for AR and NSD. There were insufficient data to demonstrate that objective metrics of sleep quality similarly improved.

show abstract

Section: Resultsmentioning

confidence: 99%

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Fried

Yuen

Zhang

et al. 2021

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Independently of the AR diagnosis, previous studies with different objective and subjective methods have demonstrated that a general improvement in nasal obstruction is achieved after STP. 8,9,11,[18][19][20] The results regarding determination of AR as a predictive factor for less improvement in STP have been contradictory in recent studies. Mondina et al studied 100 patients after STP, among whom 28 presented AR, using the NOSE and RhinoQoL questionnaires before and after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…16 Symptoms like sneezing, itchy nose, ocular symptoms and nasal obstruction were evaluated using a visual analogue scale (VAS) and the clinical history. VAS scores were classified as mild (scores of 1-3), moderate (4)(5)(6) or severe (7)(8)(9)(10).…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…6 It causes symptoms such as nasal obstruction, epistasis, snoring, anxiety, headaches, buccal breathing and sinusitis. 7,8 Septorhinoplasty (STP) is the most common treatment for patients with septal deviation and generally gives rise to satisfactory outcomes. 9The treatments for AR include avoidance of the causative allergen, a great variety of medications (such as antihistamines, anti-leukotrienes or corticoids) and specific allergen immunotherapy.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Allergic rhinitis improvement after septorhinoplasty in a sample of allergic rhinitis patients with septal deviation: a quasi-experimental study

et al. 2022

View full text Add to dashboard Cite

INTRODUCTIONAllergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population and is associated with other inflammatory diseases. 1 In AR, the upper airway respiratory mucosa becomes inflamed in response to allergen exposure, mediated by the T helper 2 (Th2) immunological response. Common symptoms include sneezing, rhinorrhea, nasal congestion, nasal itching and nasal obstruction. Nasal obstruction is the symptom that is most refractory to medical treatment. 2 The evolution of AR includes chronic rhinosinusitis, nasal polyposis or chronic rhinitis. 3 Despite the high prevalence of AR and the variety of medications for treating it, many patients still feel that their treatment has failed. 4 AR impairs quality of life (QoL) and work productivity, since it is an important cause of absence from work and school, and it generates huge costs in prescription medication. 5 Deviation of the nasal septum is diagnosed in more than 70% of the general population to some degree. 6 It causes symptoms such as nasal obstruction, epistasis, snoring, anxiety, headaches, buccal breathing and sinusitis. 7,8 Septorhinoplasty (STP) is the most common treatment for patients with septal deviation and generally gives rise to satisfactory outcomes. 9The treatments for AR include avoidance of the causative allergen, a great variety of medications (such as antihistamines, anti-leukotrienes or corticoids) and specific allergen immunotherapy. These conservative methods lead to improvement of symptoms but, for some refractory patients, medication alone is not enough. The surgical procedures for treating AR include cryotherapy, laser cautery, sinus surgery or turbinate resection. AR guides do not nowadays include

show abstract

Rhinologic disease and its impact on sleep: a systematic review

Fried

Yuen

et al. 2020

Int Forum Allergy Rhinol

View full text Add to dashboard Cite

Background Rhinologic disease can be responsible for systemic symptoms affecting mood, cognition, and sleep. It is unclear whether sleep disturbance in specific rhinologic disorders (chronic rhinosinusitis [CRS], rhinitis, and nasal septal deviation [NSD]) is an obstructive phenomenon or due to other mechanisms. In this review we examine the impact of CRS, rhinitis, and NSD on objective and subjective sleep outcome metrics and draw comparisons to normal controls and patients with known obstructive sleep apnea (OSA). Methods A systematic review of 4 databases (PubMed, Scopus, Cochrane Library, and Web of Science) was performed. Studies reporting on objective (apnea‐hypopnea index [AHI], respiratory disturbance index [RDI], oxygen nadir) and subjective (Epworth Sleepiness Scale [EpSS], Pittsburgh Sleep Quality Index [PSQI], Fatigue Severity Scale [FSS]) sleep parameters and disease‐specific patient‐reported outcome measures (PROMs; 22‐item Sino‐Nasal Outcome Test [SNOT‐22], Rhinoconjunctivitis Quality of Life Questionnaire [RQLQ], Nasal Obstruction Symptom Evaluation [NOSE]) were included. Results The database search yielded 1414 unique articles, of which 103 were included for analysis. Baseline PROMs were at the high end of normal to abnormal for all 3 conditions: EpSS: CRS (9.8 ± 4.0), rhinitis (9.7 ± 4.3), and NSD (8.9 ± 4.6); and PSQI: CRS (11.0 ± 4.5), rhinitis (6.1 ± 3.7), and NSD (8.6 ± 3.5). Objective measures demonstrated a mild to moderate OSA in the studied diseases: AHI: CRS (10.4 ± 11.5), rhinitis (8.6 ± 8.8), and NSD (13.0 ± 6.9). There were significant differences when compared with reported norms in all measured outcomes (p < 0.001). Conclusion Sleep quality is impacted by rhinologic (CRS, rhinitis, NSD) disease. There is likely a mild obstructive component contributing to poor sleep, but other contributing factors may be involved.

show abstract

Impact of Nasal Septal Surgery on Sleep Quality and Attention-Deficit/Hyperactivity Disorder

Abstract: Besides the functional improvement of septoplasty, a long-lasting improvement in the quality of life is observed in patients with that undergo this surgery.

Cited by 11 publications

References 17 publications

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Allergic rhinitis improvement after septorhinoplasty in a sample of allergic rhinitis patients with septal deviation: a quasi-experimental study

Rhinologic disease and its impact on sleep: a systematic review

Contact Info

Product

Resources

About